体外左心室辅助支持患者的 COVID-19 院内快速恶化。
Rapid Deterioration of Hospital-Acquired COVID-19 in a Patient on Extracorporeal Left Ventricular Assist Support.
机构信息
Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
Department of Cardiothoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
出版信息
Heart Lung. 2020 Nov-Dec;49(6):808-811. doi: 10.1016/j.hrtlng.2020.08.021. Epub 2020 Sep 21.
IMPORTANCE
As the Coronavirus disease 2019 (COVID-19) pandemic accelerates, our hospitals have become overwhelmed.
OBJECTIVE
To describe detection of COVID-19 in asymptomatic hospitalized individuals awaiting advanced therapies for HF and the management of complications of COVID-19.
DESIGN
We present a unique case report of hospital-acquired COVID-19 in a patient on temporary mechanical circulatory support.
MAIN OUTCOME
Despite intensive care and monitoring, he developed rapid progression of hypoxic respiratory failure which led to his death.
CONCLUSION
This case highlights various considerations for a patient with temporary MCS. It illustrates the high risk for development of COVID-19 for vulnerable hospitalized patients.
重要提示
随着 2019 年冠状病毒病（COVID-19）疫情的加速，我们的医院已不堪重负。
目的
描述在等待 HF 先进治疗的住院无症状个体中 COVID-19 的检测以及 COVID-19 并发症的管理。
设计
我们报告了一例在接受临时机械循环支持的患者中发生的医院获得性 COVID-19 的独特病例。
主要结果
尽管进行了重症监护和监测，但他仍迅速发展为低氧性呼吸衰竭，导致死亡。
结论
该病例突出了临时 MCS 患者的各种考虑因素。它说明了高危住院患者感染 COVID-19 的高风险。
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